Testosterone therapy masculinizes speech and gender presentation in transgender men

Abstract Voice is one of the most noticeably dimorphic traits in humans and plays a central role in gender presentation. Transgender males seeking to align internal identity and external gender expression frequently undergo testosterone (T) therapy to masculinize their voices and other traits. We ai...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Carolyn R. Hodges-Simeon, Graham P. O. Grail, Graham Albert, Matti D. Groll, Cara E. Stepp, Justin M. Carré, Steven A. Arnocky
Formato: article
Lenguaje:EN
Publicado: Nature Portfolio 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/cef9f2ee96b1483080cb37b9d29ff97d
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:cef9f2ee96b1483080cb37b9d29ff97d
record_format dspace
spelling oai:doaj.org-article:cef9f2ee96b1483080cb37b9d29ff97d2021-12-02T14:26:55ZTestosterone therapy masculinizes speech and gender presentation in transgender men10.1038/s41598-021-82134-22045-2322https://doaj.org/article/cef9f2ee96b1483080cb37b9d29ff97d2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82134-2https://doaj.org/toc/2045-2322Abstract Voice is one of the most noticeably dimorphic traits in humans and plays a central role in gender presentation. Transgender males seeking to align internal identity and external gender expression frequently undergo testosterone (T) therapy to masculinize their voices and other traits. We aimed to determine the importance of changes in vocal masculinity for transgender men and to determine the effectiveness of T therapy at masculinizing three speech parameters: fundamental frequency (i.e., pitch) mean and variation (f o and f o-SD) and estimated vocal tract length (VTL) derived from formant frequencies. Thirty transgender men aged 20 to 40 rated their satisfaction with traits prior to and after T therapy and contributed speech samples and salivary T. Similar-aged cisgender men and women contributed speech samples for comparison. We show that transmen viewed voice change as critical to transition success compared to other masculine traits. However, T therapy may not be sufficient to fully masculinize speech: while f o and f o-SD were largely indistinguishable from cismen, VTL was intermediate between cismen and ciswomen. f o was correlated with salivary T, and VTL associated with T therapy duration. This argues for additional approaches, such as behavior therapy and/or longer duration of hormone therapy, to improve speech transition.Carolyn R. Hodges-SimeonGraham P. O. GrailGraham AlbertMatti D. GrollCara E. SteppJustin M. CarréSteven A. ArnockyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Carolyn R. Hodges-Simeon
Graham P. O. Grail
Graham Albert
Matti D. Groll
Cara E. Stepp
Justin M. Carré
Steven A. Arnocky
Testosterone therapy masculinizes speech and gender presentation in transgender men
description Abstract Voice is one of the most noticeably dimorphic traits in humans and plays a central role in gender presentation. Transgender males seeking to align internal identity and external gender expression frequently undergo testosterone (T) therapy to masculinize their voices and other traits. We aimed to determine the importance of changes in vocal masculinity for transgender men and to determine the effectiveness of T therapy at masculinizing three speech parameters: fundamental frequency (i.e., pitch) mean and variation (f o and f o-SD) and estimated vocal tract length (VTL) derived from formant frequencies. Thirty transgender men aged 20 to 40 rated their satisfaction with traits prior to and after T therapy and contributed speech samples and salivary T. Similar-aged cisgender men and women contributed speech samples for comparison. We show that transmen viewed voice change as critical to transition success compared to other masculine traits. However, T therapy may not be sufficient to fully masculinize speech: while f o and f o-SD were largely indistinguishable from cismen, VTL was intermediate between cismen and ciswomen. f o was correlated with salivary T, and VTL associated with T therapy duration. This argues for additional approaches, such as behavior therapy and/or longer duration of hormone therapy, to improve speech transition.
format article
author Carolyn R. Hodges-Simeon
Graham P. O. Grail
Graham Albert
Matti D. Groll
Cara E. Stepp
Justin M. Carré
Steven A. Arnocky
author_facet Carolyn R. Hodges-Simeon
Graham P. O. Grail
Graham Albert
Matti D. Groll
Cara E. Stepp
Justin M. Carré
Steven A. Arnocky
author_sort Carolyn R. Hodges-Simeon
title Testosterone therapy masculinizes speech and gender presentation in transgender men
title_short Testosterone therapy masculinizes speech and gender presentation in transgender men
title_full Testosterone therapy masculinizes speech and gender presentation in transgender men
title_fullStr Testosterone therapy masculinizes speech and gender presentation in transgender men
title_full_unstemmed Testosterone therapy masculinizes speech and gender presentation in transgender men
title_sort testosterone therapy masculinizes speech and gender presentation in transgender men
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/cef9f2ee96b1483080cb37b9d29ff97d
work_keys_str_mv AT carolynrhodgessimeon testosteronetherapymasculinizesspeechandgenderpresentationintransgendermen
AT grahampograil testosteronetherapymasculinizesspeechandgenderpresentationintransgendermen
AT grahamalbert testosteronetherapymasculinizesspeechandgenderpresentationintransgendermen
AT mattidgroll testosteronetherapymasculinizesspeechandgenderpresentationintransgendermen
AT caraestepp testosteronetherapymasculinizesspeechandgenderpresentationintransgendermen
AT justinmcarre testosteronetherapymasculinizesspeechandgenderpresentationintransgendermen
AT stevenaarnocky testosteronetherapymasculinizesspeechandgenderpresentationintransgendermen
_version_ 1718391338968285184